Grava André Luiz de Souza, Ferrari Luiz Fernando, Parada Carlos Amílcar, Defino Helton Luiz Aparecido
Postgraduate student in the Department of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, Ribeirão Preto School of Medicine, University of São Paulo (USP), Ribeirão Preto, SP, Brazil.
Postgraduate student in the Department of Pharmacology, Ribeirão Preto School of Medicine, University of São Paulo (USP), Ribeirão Preto, SP, Brazil.
Rev Bras Ortop. 2015 Dec 12;45(5):460-7. doi: 10.1016/S2255-4971(15)30436-5. eCollection 2010 Sep-Oct.
To evaluate the hyperalgesia and histological abnormalities induced by contact between the dorsal root ganglion and the nucleus pulposus.
Twenty Wistar rats were used, divided into two experimental groups. In one of the groups, a fragment of autologous nucleus pulposus was removed from the sacrococcygeal region and deposited on the L5 dorsal root ganglia. In the other group (control), a fragment of adipose tissue was deposited on the L5 dorsal root ganglia. Mechanical and thermal hyperalgesia was evaluated on the third day and the first, third, fifth and seventh weeks after the operation. A L5 dorsal root ganglion was removed in the first, third, fifth and seventh weeks after the operation for histological study using HE staining and histochemical study using specific labeling for iNOS.
Higher intensity of mechanical and thermal hyperalgesia was observed in the group of animals in which the nucleus pulposus was placed in contact with the dorsal root ganglion. In this group, the histological study showed abnormalities of the dorsal root ganglion tissue, characterized by an inflammatory process and axonal degeneration. The histopathological abnormalities of the dorsal root ganglion tissue presented increasing intensity with increasing length of observation, and there was a correlation with maintenance of the hyperalgesia observed in the behavioral assessment. Immunohistochemistry using specific labeling for iNOS in the group of animals in which the nucleus pulposus was placed in contact with the dorsal root ganglion showed higher expression of this enzyme in the nuclei of the inflammatory cells (glial cells) surrounding the neurons.
Contact between the nucleus pulposus and the dorsal root ganglion induced mechanical and thermal hyperalgesia and caused histological abnormalities in the dorsal root ganglion components. These abnormalities were characterized by an inflammatory and degenerative process in the structures of the dorsal root ganglion, and they presented increasing intensity with longer periods of observation.
评估背根神经节与髓核接触所诱导的痛觉过敏和组织学异常。
使用20只Wistar大鼠,分为两个实验组。其中一组,从骶尾区域取出自体髓核碎片并置于L5背根神经节上。另一组(对照组),将脂肪组织碎片置于L5背根神经节上。在术后第三天以及第一、三、五和七周评估机械性和热性痛觉过敏。在术后第一、三、五和七周取出一个L5背根神经节用于苏木精-伊红(HE)染色的组织学研究以及使用诱导型一氧化氮合酶(iNOS)特异性标记的组织化学研究。
在髓核与背根神经节接触的动物组中观察到更高强度的机械性和热性痛觉过敏。在该组中,组织学研究显示背根神经节组织异常,其特征为炎症过程和轴突退变。背根神经节组织的组织病理学异常随着观察时间的延长而强度增加,并且与行为评估中观察到的痛觉过敏的持续存在相关。在髓核与背根神经节接触的动物组中使用iNOS特异性标记的免疫组织化学显示该酶在神经元周围的炎症细胞(神经胶质细胞)细胞核中表达更高。
髓核与背根神经节接触诱导了机械性和热性痛觉过敏,并导致背根神经节成分出现组织学异常。这些异常的特征是背根神经节结构中的炎症和退变过程,并且随着观察时间的延长强度增加。